The experience of community mental health teams by people with long-term experience of psychosis

Abstract

ABSTRACT BACKGROUND The recovery movement has facilitated a move from a palliative approach to care, to one that emphasises the possibility and likelihood of recovery. This study aimed to explore people’s experience of community mental health services, and to explore any changes that have occurred over-time. METHOD A qualitative study was conducted using Interpretative Phenomenological Analysis. Seven individuals who have experience of psychosis and who have been involved with services for 5 years or more, were recruited from community mental health teams in the UK. Interviews were conducted via the telephone using a semi-structured approach. RESULTS Individuals reported a mixed experience of services. Four super-ordinate themes were identified; 1) Grateful for connection; 2) Hesitant about being dissatisfied; 3) The unequal distribution of power; and 4) An enduring vulnerability. DISCUSSION Service-users benefited from a secure and connected relationship with professionals. They were less comfortable about criticising services but did describe some elements of care that were oppressive and isolating. Furthermore, the balance of power continues to favour professionals, with a more equal relationship required if we are to facilitate recovery and empower service-users.